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Client Account Change Request Form

Please use the Client Account Change Request to notify us or request changes.

You may use the form to make one or more of the following changes.


General Instructions:

Identify your account

At the top of the form, provide your ACOL client account number (Client ID) and contact numbers.  Your telepone contact number is important in case we have questions in order to complete your requested change.

Sign the form

An authorized signature is required in order for us to complete the request.

Designate the type of change

Select the type of account change that you are requesting.  You may perform more than one type of change in a single form.

Send the form to us

Please ensure that an authorized representative has signed the form before you send it to us.

Fax to: 1-902-422-1675

OR

Mail to:

Unisys Canada Inc.
350-7105 Chebucto Road
Halifax, NS B3L 4W8